Individual
DR. JACQUELIN A AGOSTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 BRITTON PL, SUITE 102, VOORHEES, NJ 08043-2514
(856) 784-9790
Mailing address
16 SILVER HILL LN, VOORHEES, NJ 08043-4732
(856) 784-9790
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
35S100323500
NJ
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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